Robert Quamme, BS, CADC I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1366697690 Issued in OR

Practice address

337 SE Fowler St
Roseburg, OR 97470-4348

Phone

(541) 464-6535

NPI assigned

Jun 12, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Alliance

  • Community/Behavioral Health Agency
  • Roseburg, OR
  • NPI 1144631326
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1972096139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700368",
            "telephone_number": "541-464-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SE FOWLER ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704348",
            "telephone_number": "541-464-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAMME",
        "first_name": "ROBERT",
        "credential": "BS, CADC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-17-340",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "1366697690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Prudencio, FNP
• Danielle Marie Pruett
• Rosa Maira Pugh-Hunter
• Laurence Everett Putman I, D.D.S.
• Sarah Pytalski
• Tamara Lee Quamme, CADC I
• Quest Diagnostics Clinical Laboratories Inc
• Lisa Quillin, LPN
• Corina Gabriela Rachita, MD
• Mircea S. Rachita, MD

• Mental Health Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.